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J Korean Neurol Assoc. 2005;23(3):402-404.
- A Case of Isolated Aspergillus Sphenoid Sinusitis
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Dae-Hyun Kim
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Departments of Neurology, Otolaryngologya, and Radiologyb, University of Ulsan College of Medicine,
Ulsan University Hospital, Ulsan, Korea
- 단독성 아스페르길루스 접형동염 1예
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김대현, 김효경 남정권a 박지강b
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울산대학교 의과대학 울산대학교병원 신경과, 이비인후과a, 진단방사선과b
- Abstract
- Isolated Aspergillus infection originating within the sphenoid sinus is most often associated with the immunocompromised patient. A 53-year-old healthy woman presented with a 3-week history of headache and subsequent left 6th nerve palsy. Brain MRI demonstrated a space-occupying lesion within sphenoid sinus. Histological analysis through transnasal-transsphenoidal approach revealed numerous Aspergillus hyphae. Postoperatively, all symptoms resolved completely without anti-fungal treatment. Isolated Aspergillus sphenoid sinusitis should be routinely included in the differential diagnosis of patients with acute or subacute headache, even in nonimmunosuppressed patients.KeyWords:Aspergillosis, Sphenoid sinus, Isolated sphenoiditis
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- 초록
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